DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Travis DeshaDOIID1192127NAIC NPN20256715
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty3/28/2022 12/31/2025
ActiveResidentAgentLife8/1/2022 12/31/2025
ActiveResidentAgentHealth8/4/2022 12/31/2025
ActiveResidentAgentProperty3/28/2022 12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health9/20/2022 
InactiveAccendo Insurance Company300312Agent - Health9/15/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life9/15/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health8/31/2022 
ActiveAetna Health and Life Insurance Company300523Agent - Health9/15/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/31/2022 
ActiveAetna Life Insurance Company301140Agent - Health8/31/2022 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/4/2022 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health8/4/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health8/4/2022 
ActiveAnthem Life Insurance Company301209Agent - Health3/29/2023 
ActiveAnthem Life Insurance Company301209Agent - Life3/29/2023 
ActiveArcadian Health Plan, Inc.728196Agent - Health9/13/2022 
ActiveAuto-Owners Insurance Company301480Agent - Casualty7/29/2022 
ActiveAuto-Owners Insurance Company301480Agent - Property7/29/2022 
ActiveBristol West Insurance Company301655Agent - Casualty5/13/2022 
ActiveBristol West Insurance Company301655Agent - Property5/13/2022 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health12/27/2022 
ActiveCompBenefits Insurance Company301864Agent - Health12/27/2022 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health8/4/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/15/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life9/15/2022 
ActiveDental Concern Inc. (The)301641Agent - Health10/27/2022 
ActiveErie Family Life Insurance Company301400Agent - Health9/18/2022 
ActiveErie Family Life Insurance Company301400Agent - Life8/22/2022 
ActiveErie Insurance Company300230Agent - Casualty8/9/2022 
ActiveErie Insurance Company300230Agent - Property8/9/2022 
ActiveErie Insurance Exchange300789Agent - Casualty8/9/2022 
ActiveErie Insurance Exchange300789Agent - Property8/9/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/13/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/13/2022 
ActiveFrankenmuth Insurance Company301481Agent - Casualty7/28/2022 
ActiveFrankenmuth Insurance Company301481Agent - Property7/28/2022 
InactiveGrange Indemnity Insurance Company300793Agent - Casualty4/7/202211/10/2022
InactiveGrange Indemnity Insurance Company300793Agent - Property4/7/202211/10/2022
InactiveGrange Insurance Company300234Agent - Casualty4/7/202211/10/2022
InactiveGrange Insurance Company300234Agent - Property4/7/202211/10/2022
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty4/7/202211/10/2022
InactiveGrange Property & Casualty Insurance Company601680Agent - Property4/7/202211/10/2022
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/16/2023 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health10/24/2022 
ActiveHumana Insurance Company301104Agent - Health10/19/2022 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/2/2022 
ActiveMedico Insurance Company301559Agent - Health2/16/2023 
ActiveMedico Insurance Company301559Agent - Life2/16/2023 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health5/13/2023 
ActiveOwners Insurance Company300796Agent - Casualty7/29/2022 
ActiveOwners Insurance Company300796Agent - Property7/29/2022 
ActiveSilverScript Insurance Company663526Agent - Health8/31/2022 
InactiveTrustgard Insurance Company300104Agent - Casualty4/7/202211/10/2022
InactiveTrustgard Insurance Company300104Agent - Property4/7/202211/10/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health12/27/2022 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/27/2022 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health1/30/2023 
ActiveWest Bend Insurance Company672974Agent - Casualty8/2/2022 
ActiveWest Bend Insurance Company672974Agent - Property8/2/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveNewman & Tucker Inc.398983Agent - Casualty4/1/2022 
ActiveNewman & Tucker Inc.398983Agent - Property4/1/2022 

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